Functional constipation in children: Rome II versus Rome III criteria

2006 ◽  
Vol 38 (10) ◽  
pp. A105
Author(s):  
G. Boccia ◽  
L. Pensabene ◽  
M.A. Sarno ◽  
P. Masi ◽  
E. Bonanno ◽  
...  
Keyword(s):  
Functional Constipation ◽  
Rome Iii Criteria ◽  
Rome Iii

scholarly journals Inability of the Rome III Criteria to Distinguish Functional Constipation From Constipation-Subtype Irritable Bowel Syndrome

2010 ◽  
Vol 105 (10) ◽  
pp. 2228-2234 ◽  
Author(s):  
Reuben K Wong ◽  
Olafur S Palsson ◽  
Marsha J Turner ◽  
Rona L Levy ◽  
Andrew D Feld ◽  
...  
Keyword(s):  
Irritable Bowel Syndrome ◽  
Functional Constipation ◽  
Rome Iii Criteria ◽  
Rome Iii ◽  
Irritable Bowel

scholarly journals Female Functional Constipation Is Associated with Overactive Bladder Symptoms and Urinary Incontinence

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Takahiro Maeda ◽  
Masuomi Tomita ◽  
Atsushi Nakazawa ◽  
Gen Sakai ◽  
Shinsuke Funakoshi ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Overactive Bladder ◽  
Functional Constipation ◽  
Cross Sectional Study ◽  
Urinary Symptoms ◽  
Rome Iii Criteria ◽  
Cross Sectional ◽  
Associated Factor ◽  
Female Patients ◽  
Rome Iii

This noninterventional cross-sectional study aims to assess the association between functional constipation (FC) and urinary symptoms in female patients with no treatment for urination and defecation. The Rome III criteria for evaluation of defecation, Overactive Bladder Symptom Score (OABSS) for evaluation of urinary symptoms, and clinical features were investigated in 145 female patients. Latent FC and moderate to severe overactive bladder (OAB) were defined on the basis of positivity for two or more of the Rome III criteria and an OABSS ≥ 6 with OABSS Q3 ≥ 2, respectively. In 60 latent FC patients, the OABSS was higher (5.0 versus 3.2, p=0.001), and concurrent moderate to severe OAB symptoms and OAB with urinary incontinence were more frequent than those in 85 nonlatent FC patients (33.3 versus 10.6%, p=0.001, and 31.7 versus 7.1%, p<0.001). Multivariate analysis demonstrated that moderate to severe OAB symptoms were a significant associated factor of latent FC (odds ratio (OR) = 4.125, p=0.005), while latent FC was the only associated factor of moderate to severe OAB and OAB with urinary incontinence (OR = 4.227, p=0.005 and OR = 4.753, p=0.004). In conclusion, moderate to severe OAB symptoms are correlated with FC. Moreover, FC is related to moderate to severe OAB symptoms and to OAB with urinary incontinence.

M1224 Are Functional Constipation (FC) and Constipation Subtype Irritable Bowel Syndrome (IBS-C) Different Entities When Diagnosed By ROME III Criteria?

2009 ◽  
Vol 136 (5) ◽  
pp. A-376-A-376 ◽  
Author(s):  
Reuben K. Wong ◽  
Olafur S. Palsson ◽  
Marsha J. Turner ◽  
Rona L. Levy ◽  
Andrew D. Feld ◽  
...  
Keyword(s):  
Irritable Bowel Syndrome ◽  
Functional Constipation ◽  
Rome Iii Criteria ◽  
Rome Iii ◽  
Irritable Bowel

Functional Constipation in Older Adults: Prevalence, Clinical Symptoms and Subtypes, Association with Frailty, and Impact on Quality of Life

Gerontology ◽  
2021 ◽  
pp. 1-10
Author(s):  
Sandra Arco ◽  
Esther Saldaña ◽  
Mateu Serra-Prat ◽  
Elisabet Palomera ◽  
Yolanda Ribas ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Clinical Symptoms ◽  
Functional Constipation ◽  
Colonic Transit ◽  
Rome Iii Criteria ◽  
Frail Patients ◽  
Rome Iii ◽  
Defecation Disorder

<b><i>Introduction:</i></b> Functional constipation (FC) is very prevalent in older adults, especially in women, but its relationship with frailty is not fully understood. The aims were to assess FC prevalence, clinical symptoms and subtypes, association with frailty, and impact on quality of life (QoL) in older people. <b><i>Methods:</i></b> This epidemiological study included 384 individuals aged over 70 years recruited from the community, a hospital, and a nursing home and stratified into robust, pre-frail, and frail groups (Fried criteria). The following criteria were evaluated: frailty, FC (Rome III criteria), stool consistency (Bristol Stool Chart), comorbidities (Charlson), dependency (Barthel), QoL (EQ5D), and clinical and sociodemographic data. Defined by symptom aggregation were 2 main clinical subtypes as follows: slow colonic transit time (CTT) and functional defecation disorder (FDD). <b><i>Results:</i></b> Mean age was 79.11 ± 6.43 years. Overall FC prevalence was 26.8%, higher in women (32.4% women vs. 21.8% men; <i>p</i> = 0.019) and highest in frail patients (41.7% frail vs. 33.9% pre-frail vs. 24.2% robust; <i>p</i> &#x3c; 0.001). Straining and hard stools (Bristol 1–2) were the most prevalent symptoms (89.3 and 75.7%, respectively). Frailty and benzodiazepine intake were independently associated with FC. Patients with FC obtained poorer QoL scores in the EQ5D (perceived health 66.09 ± 17.8 FC patients vs. 56.4 ± 19.03 non-FC patients; <i>p</i> &#x3c; 0.05). The FDD subtype became significantly more prevalent as frailty increased (6.5, 25.8, and 67.7% for robust, pre-frail, and frail patients, respectively); the slow CTT subtype was significantly more frequent in robust patients (38.5% robust vs. 30.5% pre-frail vs. 23.1% frail), <i>p</i> = 0.002. <b><i>Discussion/Conclusion:</i></b> FC prevalence in older adults was high, especially in women, and was associated with frailty and poor QoL. Clinical subtypes as related to frailty phenotypes reflect specific pathophysiological aspects and should lead to more specific diagnoses and improved treatment.

scholarly journals Constipation in children: incidence, causes in relation to diet pattern and psychosocial aspects

2017 ◽  
Vol 5 (1) ◽  
pp. 6 ◽  
Author(s):  
Chandra Sekhar Kondapalli ◽  
Sagari Gullapalli
Keyword(s):  
Dietary Habits ◽  
Economic Status ◽  
Functional Constipation ◽  
Psychosocial Aspects ◽  
Age Group ◽  
Rome Iii Criteria ◽  
Normal Children ◽  
Diet Pattern ◽  
Rome Iii ◽  
Vegetables And Fruits

Background: The present study was conducted to study the incidence of constipation in children attending the paediatric Op and also to know the bowel pattern in constipated children and normal children with respect to food habits and regarding psychosocial aspect of toileting.Methods: A study was done at Katuri Medical College and Hospital in 654 children with age group of 2-12yr of either sex. Children who fulfilled the ROME III criteria for constipation were analysed for demographic profile, socio-economic status, psychosocial aspects and dietary habits affecting bowel pattern. Data was collected and recorded from the parents in pre-fixed proforma. Stool frequency and type of stool passed was recorded for a week, with Bristol stool chart. Children in the study group without constipation were analyzed in similar pattern.Results: A total of 654 children were analysed, out of which 202 children fulfilled the ROME III criteria for functional constipation. The prevalence of functional constipation was noted in 30.8% with female preponderance and incidence is more in the age group of2-4 years. In children without constipation, the average number of stools passed per day is 1.342 and the predominant type of stool is Type iv.Conclusions: Constipation continues to be a problem, mostly under recognised in older population. Psychosocial factors had a significant effect on functional constipation. Skipping breakfast, early toilet practising, low intake of vegetables and fruits were other factors leading to constipation. 

scholarly journals Anismus as a cause of functional constipation: Experience from Serbia

2015 ◽  
Vol 72 (1) ◽  
pp. 9-11 ◽  
Author(s):  
Igor Jovanovic ◽  
Dragana Jovanovic ◽  
Milenko Ugljesic ◽  
Nikola Milinic ◽  
Mirjana Cvetkovic ◽  
...  
Keyword(s):  
Anal Sphincter ◽  
Anorectal Manometry ◽  
External Anal Sphincter ◽  
Functional Constipation ◽  
Anorectal Function ◽  
Control Group ◽  
Rome Iii Criteria ◽  
Significant Difference ◽  
Obstructive Defecation ◽  
Rome Iii

Backround/Aim. Anismus is paradoxal pressure increase or pressure decrease less than 20% of external anal sphincter during defecation straining. This study analyzed the presence of anismus as within a group of patients with the positive Rome III criteria for functional constipation. We used anorectal manometry as the determination method for anismus. Methods. We used anorectal waterperfused manometry in 60 patients with obstructive defecation defined by the Rome III criteria for functional constipation. We also analyzed anorectal function in 30 healthy subjects. Results. The presence of anismus is more frequent in the group of patients with obstructive defecation compared to the control group (a highly statistically significant difference, p < 0.01). Furthermore, we found that the Rome III criteria for functional constipation showed 90% accuracy in predicting obstructive defecation. We analyzed the correlation of anismus with the presence of weak external anal sphincter, rectal sensibility disorders, enlarged piles, diverticular disease and anatomic variations of colon. We found no correlation between them in any of these cases. Conclusion. There is a significant correlation between anismus and positive Rome III criteria for functional constipation. Anorectal manometry should be performed in all patients with the positive Rome III criteria for functional constipation.

scholarly journals A69 MULTIPLE FUNCTIONAL GASTROINTESTINAL DISORDERS IN JORDANIAN CHILDREN, NATIONWIDE STUDY

2020 ◽  
Vol 3 (Supplement_1) ◽  
pp. 82-83
Author(s):  
E Altamimi
Keyword(s):  
Functional Gastrointestinal Disorders ◽  
Functional Constipation ◽  
Arabic Language ◽  
Cross Sectional Study ◽  
Gastrointestinal Disorders ◽  
Rome Iii Criteria ◽  
Cross Sectional ◽  
Funding Agencies ◽  
Rome Iii ◽  
Common Combination

Abstract Background Functional gastrointestinal disorders (FGIDs) are common in children worldwide. Multiple FGIDs might share some etiopathogenesis, which makes finding multiple disorders in a child a possibility. Aims Estimate the prevalence of FGIDs in Jordanian children prospectively, whether as a single or combined disorders. Methods A prospective, cross-sectional study was conducted in 6 cities in Jordan. Children between the ages of 4–18 were recruited. A validated Arabic language questionnaires based on Rome III criteria were filled by the participants if older than 10 years and by the parents if younger than 10 years. Results A total of 1587(79.35%) participants filled the questionnaires. 814 (51.29%) were younger than 10 years. FGIDs was diagnosed in 204 (25.03%) of younger children. In children between (11 and 18), 310 (40%) were diagnosed with FGIDs. In children (4–10 yrs.) who were diagnosed with FGIDs, 15.5 % had two disorders, while 3% had three or more disorders. The most common combination was aerophobia and functional constipation, comprising 22.58% of combined disorders. In children (11–18 yrs.) with FGIDs, 22.27% had two disorders and 7% had three or more disorders. Interestingly, the most common combination was aerophagia and functional constipation also, representing 34% of the combined cases. Conclusions Functional gastrointestinal disorders are common in Jordanian children. Multiple Functional gastrointestinal disorders may coexist. Diagnosis of one disorder should not prevent us from investigating other disorders. Funding Agencies None

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